MEDICARE: MR. VICTOR HUGO MAILEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	51171	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0100942	OTHER		UNITED HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7064	OTHER		HARVARD PILGRIM
4	J02228	OTHER	MA	BCBS
5	000000025298	OTHER		BMC HEALTHNET
6	535737	OTHER		AETNA
7	B10384701	OTHER		CIGNA
8	051171	OTHER		TUFTS

General Provider Information

NPI Number	:	1932199353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VICTOR HUGO MAILEY MD

Provider Business Mailing Address
First Line	:	163 RIVER RD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-6229
Country	:	US
Telephone Number	:	508-995-8187
Fax Number	:	508-998-3959

Provider Business Practice Location Address
First Line	:	163 RIVER RD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-6229
Country	:	US
Telephone Number	:	508-995-8187
Fax Number	:	508-998-3959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/23/2010

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